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Assessment of Postoperative Complications after Reverse Shoulder Arthroplasty Using Multislice Computed Tomography

https://doi.org/10.52560/2713-0118-2025-5-34-46

Abstract

Objective. To evaluate the diagnostic capabilities of radiography and multislice computed tomography (MSCT) in detecting complications after reverse shoulder arthroplasty.

Materials and Methods. The study included data from 40 patients who underwent reverse shoulder arthroplasty and subsequently underwent both radiography and MSCT in the postoperative period. The analysis focused on the frequency and nature of postoperative complications, including aseptic component loosening, scapular notching, periprosthetic resorption, periprosthetic fractures, and glenoid vault perforation.

Results. It has been established that MSCT makes it possible to visualize pathological changes with high accuracy, including in the early stages, and serves as an important tool in the formation of clinical and diagnostic tactics.

Conclusion. Based on the data obtained, recommendations were formulated for the inclusion of MSCT in the standard protocol of postoperative monitoring of patients.

About the Authors

E. A. Egorova
Federal State Budgetary Educational Institution of Higher Education «Russian University of Medicine» of the Ministry of Health of the Russian Federation, A. I. Evdokimov Institute of Dentistry
Russian Federation

Egorova Elena Alekseevna, PhD, рrofessor, рrofessor of the Department of Radiation, of the Faculty of Dentistry

Moscow



P. O. Koshelev
Federal State Budgetary Educational Institution of Higher Education «Russian University of Medicine» of the Ministry of Health of the Russian Federation, A. I. Evdokimov Institute of Dentistry
Russian Federation

Koshelev Pavel Olegovich, рostgraduate of Department of Radiology of the Faculty of Dentistry

Moscow



References

1. Egorova E. A., Denisova R. B. Radiological diagnostics in the assessment of hip arthroplasty outcomes. Medical Almanac. 2008;(S):159-160. (In Russ.).

2. Lychagin A. V., Kesian G. A., Kalinsky E. B., Sukharev N. A. Complications in the early postoperative period after reverse shoulder arthroplasty. N. N. Priorov Journal of Traumatology and Orthopedics. 2020;27(2):10-14. (In Russ.). https://doi.org/10.17816/vto202027210-14

3. Sveshnikov A. A., Ovchinnikov E. N. Agerelated changes in the mineral density of the male skeletal bones. Genius of Orthopedics. 2010;(3):50-56. (In Russ.).

4. Shesternya N. A., Ivannikov S. V., Zharova T. A., Sukharev N. A. Types of complications in total shoulder arthroplasty. Department of Traumatology and Orthopedics. 2018;3(33):53-56. (In Russ.). https://doi.org/10.17238/issn2226-2016.2018.3.53-56

5. Brodén C., Reilly P., Khanna M., Popat R., Olivecrona H., Griffiths D., Sköldenberg O., Emery R. CT-based micromotion analysis method can assess early implant migration and development of radiolucent lines in cemented glenoid components: a clinical feasibility study. Acta Orthopaedica. 2022;93:277-283. https://doi.org/10.2340/17453674.2022.1976

6. Chamseddine M., Breden S., Pietschmann M. F., Müller P. E., Chevalier Y. Periprosthetic bone quality affects the fixation of anatomic glenoids in total shoulder arthroplasty: in vitro study. J. Shoulder Elbow Surg. 2019;28(1):e 18-e28. https://doi.org/10.1016/j.jse.2018.07.012

7. Cody E. A., Lachman J. R., Gausden E. B., Nunley J. A. 2nd, Easley M. E. Lower bone density on preoperative computed tomography predicts periprosthetic fracture risk in total ankle arthroplasty. Foot & Ankle International. 2019;40(1):1-8. https://doi.org/10.1177/1071100718799102

8. Sirveaux F., Favard L., Oudet D., Huquet D., Walch G., Molé D. Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J. Bone Joint Surg Br. 2004 Apr;86(3):388-95. https://doi.org/10.13 02/0301-620x.86b3.14024. PMID: 15125127.


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For citations:


Egorova E.A., Koshelev P.O. Assessment of Postoperative Complications after Reverse Shoulder Arthroplasty Using Multislice Computed Tomography. Radiology - Practice. 2025;(5):34-46. (In Russ.) https://doi.org/10.52560/2713-0118-2025-5-34-46

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ISSN 2713-0118 (Online)